US dollar prices read on BMJ's store in October 2026
BMJ Best Practice subscription cost and price for US clinicians
$435 a year for a physician. $315 for NPs, PAs and pharmacists. $250 in training, $155 for students, or $39 a month for anyone.
Most prices you find online are in pounds, because BMJ shows a different store outside the US. These are the dollar prices a US clinician actually pays, and where a prescribing check still needs its own tool.
Press Run check for the interaction, contraindication, dosing and alternatives on this pair.
Not matched, so not checked: .
Nothing on this pair matched a row in the reference tables behind this check. That is not a clearance: it means these references do not name this combination.
Guideline-based alternatives
That was your demo check, run on the same references the desk uses. The desk adds renal dosing against an estimated clearance, hepatic review, unlimited checks, saved history and your sign-off on every card.
The on-page check covers five prescribing scenarios and never invents clinical output, so it will not produce a card for this pair.
The full Prescriber.io desk checks any regimen against interactions, contraindications, and renal or hepatic dosing, with cited sources for you to verify.
Interaction
Contraindication / allergy check
Dosing guidance (renal / hepatic)
Guideline-based alternatives
Decision support. You verify against official sources and sign.
Clinician in the loopDecision support for licensed clinicians. Prescriber.io does not diagnose or prescribe and is not a substitute for professional clinical judgment.
Check · flag · suggest · you review and sign off
The short answer
How much does BMJ Best Practice cost in the US?
A personal BMJ Best Practice subscription costs a US physician $435 a year, which BMJ shows as $36.25 a month billed annually, or $39 paid month to month. Physicians in training pay $250 a year, other healthcare professionals $315 and students $155. US buyers get one tier, Complete, which includes the Comorbidities Manager. Annual plans renew automatically unless you tell BMJ 14 days ahead, and institutional prices are quoted, not published.
Read from BMJ's US subscribe page as it renders for a visitor in the United States. The same address shows pounds and a second tier to visitors in Europe.
Priced by profession
BMJ Best Practice prices on the US store
Same Complete tier on every card. Your profession sets the annual price, and monthly is $39 for everyone.
Physician
$435 a year
$36.25 a month billed annually, or $39 monthly
The headline price for an attending. Twelve months at $39 is $468, so annual saves $33.
Physician in training
$250 a year
$20.80 a month billed annually, or $39 monthly
Residents and fellows. Same Complete tier as the attending rate, $185 less.
Other healthcare professional
$315 a year
$26.25 a month billed annually, or $39 monthly
Nurse practitioners, PAs, pharmacists and nurses pick this profession at checkout.
Student
$155 a year
$12.90 a month billed annually, or $39 monthly
Monthly costs students three times the annual rate, so annual is the only sensible choice.
Prices in US dollars as listed on bestpractice.bmj.com/info/us/subscribe.
What $435 buys
What the BMJ Best Practice subscription includes
Everything below comes with Complete, the only personal tier BMJ sells in the US.
Consultation-shaped topics
Each topic walks through diagnosis, prognosis, treatment and prevention in the order you meet a patient, across 32 specialties.
Comorbidities Manager
Select the conditions a patient already has and the treatment approach is regenerated to balance the guidelines and reduce conflicts.
Guidelines and evidence
More than 6,000 guidelines, daily evidence updates and Cochrane Clinical Answers sit inside the topics.
Calculators and leaflets
More than 250 medical calculators and over 600 patient leaflets, plus videos of common procedures.
Offline app
The app is free for every subscriber and works fully offline, which matters on wards and in clinics with poor signal.
CME tracking
Built-in CME and CPD tools log your activity automatically, in the web version and in the app.
BMJ Best Practice free trial and renewal
The dates that decide what you are charged
Days 1 to 7
The free personal trial gives unlimited access for seven days, on the web and in the app.
Checkout
You pick your profession, then annual or $39 monthly. The profession sets the annual price.
28 days before renewal
BMJ sends an annual subscriber a reminder that the plan is about to renew.
14 days before renewal
The last point to tell BMJ you are leaving. After that the next year or month is billed.
The 14-day notice is the one to put in your calendar. A reminder that arrives 28 days out leaves two weeks to decide, and silence after that means another $435.
Why most BMJ Best Practice prices online are in pounds
BMJ prices its store by where you are. Open the subscribe page from the United States and you see one tier, Complete, priced in dollars for four professions. Open the same address from Europe and you see two tiers, Essential and Complete, in pounds sterling: a physician pays 250 pounds for Essential or 324 pounds for Complete.
That is why forum threads, library guides and older comparison pages disagree. Some quote the UK numbers, some quote discount banners that ended years ago, and a 2021 Charleston Advisor review said personal subscriptions were not sold in North America at all. In October 2026 the US page has a Buy button for each profession, so a US clinician can subscribe personally, in dollars, on a US card.
One practical upshot: if you are reimbursed by an employer or a CME allowance, submit the dollar receipt from the US checkout. A pound figure copied from a UK page will not match what your card was charged.
Annual or monthly, worked out
For a physician, twelve months at $39 comes to $468 against $435 billed once, a $33 difference. That is small enough that monthly makes sense if you are trying it for a single rotation or a locum contract, and plan to stop.
Everyone else should look harder at annual, because the monthly price does not change with profession. A nurse practitioner on monthly pays $468 a year against $315 annual, $153 more. A student pays $468 against $155, three times the annual rate. A resident pays $468 against $250. A nurse practitioner who mostly wants a nursing drug and lab library rather than a general reference can do it for less with the Nursing Central subscription, $199.99 in the first year and $99.95 after.
If a practice is paying, the useful figure is cost per clinician across the tools each one needs. BMJ Best Practice at $435 plus a prescribing checker at $288 is $723 a year, $48 more than a single DynaMedex with Dyna AI subscription at $675, for two tools that do different jobs.
One year of BMJ Best Practice in the US
- Student, annual$155
- Physician in training, annual$250
- Other healthcare professional, annual$315
- Physician, annual$435
- Any profession, 12 months at $39$468
- Prescriber.io Solo, annual$288
BMJ Best Practice answers diagnosis and treatment questions; Prescriber.io runs prescribing checks. Different jobs, listed together because many clinicians price both.
What else a BMJ buyer prices
BMJ Best Practice against the other point-of-care references
Annual cost for one clinician paying personally, with where each figure was read.
| Tool | Main job | Cost per clinician a year | Read at |
|---|---|---|---|
| BMJ Best Practice Complete | Consultation-shaped topics with the Comorbidities Manager | $435 physician, $315 other professional | BMJ US store, Oct 2026 |
| UpToDate | Graded topic reviews written by physician authors | Not published for practicing clinicians, trainees from $219 | Wolters Kluwer, Oct 2026 |
| DynaMedex | Edited evidence summaries plus Micromedex drug content | $599, or $675 with Dyna AI | dynamedex.com, Oct 2026 |
| ClinicalKey AI | Cited AI answers over Elsevier books and journals | $349 billed yearly, $39 a month | Elsevier store, Oct 2026 |
| OpenEvidence | Cited AI answers from licensed journals | $0 for verified US clinicians | openevidence.com, Oct 2026 |
| Prescriber.io Solo | Prescribing checks: interactions, contraindications, renal and hepatic dosing | $288 billed yearly, $49 a month paid monthly | Our own pricing page |
Where BMJ Best Practice clearly wins: it prints its price. At $435 a physician pays $164 less than DynaMedex at $599, and BMJ is one of very few general references with a published rate for nurse practitioners and PAs. UpToDate shows no price at all for practicing clinicians, as we document in UpToDate subscription cost, and our BMJ Best Practice vs UpToDate comparison covers how the two differ in depth.
Where it is not the cheapest route: quick cited answers. OpenEvidence answers literature questions for verified US clinicians at no charge, and ClinicalKey AI pricing starts at $39 a month with textbook-grounded answers. Neither has the consultation structure or the Comorbidities Manager.
Who should pay for BMJ Best Practice, and where a prescribing check fits
The clinician who gets the most from it is one without institutional access who sees a broad mix of patients: a primary care physician in a small practice, an urgent care PA, a nurse practitioner running a rural clinic. The topics are organized around the consultation, which suits someone working through an undifferentiated presentation, and the Comorbidities Manager earns its keep with older patients carrying four or five diagnoses.
Before you pay, check two things. Your hospital or university library may already license it, in which case you sign in through your institution and pay nothing. And if you already have UpToDate through work, a second general reference duplicates most of what you have.
What no general reference does is watch the medication list for you. A new prescription raises several questions at once: does it interact with anything on a twelve-item list, does a condition on the problem list rule it out, does a documented allergy block it, does an eGFR of 34 change the dose. Prescriber.io runs all of those on the actual list every time, with the contraindication checker, interaction and renal and hepatic dosing checks returned together in one card with cited sources. You review the card and sign. It does not answer diagnostic questions, which is why it costs $24 a clinician a month rather than competing with BMJ on breadth.
Straight answers
Questions people search about BMJ Best Practice pricing
How much does BMJ Best Practice cost?
On BMJ's US store a physician pays $435 a year or $39 a month for BMJ Best Practice Complete. Physicians in training pay $250 a year, other healthcare professionals $315 and students $155, and every profession can choose $39 a month instead. Institutional licenses are quoted and the price is not published.
Is BMJ Best Practice free?
No. It is a paid subscription, with a seven-day free personal trial and free access for clinicians whose hospital or university already licenses it. NHS staff in England, Scotland and Wales get it through the NHS, which is why many UK sources call it free. For a US clinician paying personally it starts at $315 or $435 a year.
Can I get a personal BMJ Best Practice subscription in the US?
Yes. The US subscribe page sells personal BMJ Best Practice Complete plans in US dollars with a Buy button for each profession. Older pages, including a 2021 review, said personal plans were not sold in North America. That is out of date for the store as it reads in October 2026.
Does BMJ Best Practice have a free trial?
Yes. BMJ offers a seven-day free personal trial with unlimited access to the topics, guidelines, calculators, patient leaflets and the offline app. You can register on the website or inside the app. Hospitals and universities can request a separate institutional trial for their staff before they buy.
How do I cancel BMJ Best Practice?
Contact BMJ at least 14 days before your renewal date. Annual subscriptions renew automatically unless you do, and BMJ sends a reminder at least 28 days ahead. A monthly plan stops renewing for the next month if you tell BMJ 14 days before that date, unless it was bought on a promotion with a minimum term.
Is BMJ Best Practice worth it?
It is worth paying for if you want a published price, consultation-shaped topics and the Comorbidities Manager for patients with several conditions. At $435 it costs $164 less than DynaMedex. If your employer already licenses UpToDate, a second general reference rarely pays for itself, and a narrower tool for the gap you actually have is cheaper.
Is BMJ Best Practice cheaper than UpToDate?
You cannot settle it from list prices alone. BMJ publishes $435 a year for a physician, while UpToDate publishes no price for practicing clinicians and shows only its trainee rate, from $219 a year. For a resident, then, UpToDate's trainee rate is $31 below BMJ's $250 rate for physicians in training.
Does BMJ Best Practice include CME?
Yes. BMJ Best Practice has built-in CME and CPD tools that track your activity automatically, including in the app, so the time you spend reading topics is logged for you. Check how your state board and specialty board accept that activity before you count it toward a renewal requirement.
Go deeper
Other clinical references, priced the same way
BMJ Best Practice vs UpToDate
Depth, structure and which one to keep.
CostUpToDate subscription cost
What the store shows and why there is no list price.
CostDynaMed and DynaMedex cost
$599 a year, $675 with Dyna AI.
CostClinicalKey AI pricing
$39 a month or $349 a year, residents $19.
CostOpenEvidence cost
The free AI answer engine and what free covers.
PricingPrescriber.io pricing
Per-clinician seats from $24 a month.
Cover the prescribing step for $24 a month.
Prescriber.io checks interactions, flags contraindications, surfaces renal and hepatic dosing and suggests guideline-based alternatives, with cited sources. You review, verify, and sign.
Decision-support for licensed clinicians. Prescriber.io does not diagnose or prescribe autonomously and is not a substitute for professional clinical judgment. Always verify against official sources.